[下齿局部麻醉的科学解剖学原理]
[Scientific anatomical rationalefor lower teeth local anesthesia].
作者信息
Kuzin A V, Semkin V A, Dydykin S S
机构信息
Central Research Institute of Dentistry and Maxillofacial Surgery.
I.M. Sechenov First State Medical University, Moscow, Russia.
出版信息
Stomatologiia (Mosk). 2015;94(4):35-38. doi: 10.17116/stomat201594435-38.
The article presents clinical recommendation for the choice of local anesthesia techniques in dental treatment of lower teeth based both on original research and literature review. Several localanesthesiatechniques are described for various teeth group, as well as intraosseousdiffusionoflocal anesthetic at various sites of mandible bone and possible anatomical reasons for local anesthesia failures. Theresultsofauthor's anatomical and clinical studies confirm that branches of buccal and lingual nerve can provide lower teeth innervation. Several local anesthesia techniques which may be useful for overcoming the mandibular block failure are proposed.
本文基于原创研究和文献综述，提出了在治疗下牙时选择局部麻醉技术的临床建议。文中描述了针对不同牙组的几种局部麻醉技术，以及在下颌骨不同部位局部麻醉药的骨内扩散情况和局部麻醉失败可能的解剖学原因。作者的解剖学和临床研究结果证实，颊神经和舌神经分支可为下牙提供神经支配。文中还提出了几种可能有助于克服下颌阻滞失败的局部麻醉技术。
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